神经症病人曲解认知的初步分析  

Preliminary analysis of cognitive distortion among neurosis patients

作　　者：陈福国[1] 韩士荣[1] 崔益萍[1] 陈捷[1] 

机构地区：[1]上海第二医科大学医学心理学教研室

出　　处：《中国行为医学科学》1997年第3期191-193,共3页Chinese Journal of Behavioral Medical Science

摘　　要：分析我国神经症病人认知曲解的特点及其与揭示潜在心理机制、疗效关系的研究。方法利用功能失调性自动思考记录表对３２例神经症病人在接受治疗过程中反映出的曲解认知进行了分析。结果“过度引申”、“选择性归纳”、“任意推断”和“极端思考”是病人认知浅表层次中最常见的功能失调性思考。激发性社会生活事件与功能失调性信念有着较为密切的联系。揭示潜在心理机制有助于提高治疗效果。结论在认知治疗中注意病人常见功能失调性思考，挖掘出功能失调性信念，潜在假设和不合理图式，是病人的认知转变，克服心理障碍的关键。? Objective To analyse the characteristics about cognitive distortion of neurosis patients in our country and its relationship with revedling underlying psychological mechanism and effects of psychotherapy.Methods the cognitive distortion which patients expressed during their sessions of cognitive therapy was analysed Results Overgeneralization,selective Abstract ion,disqualifying the positive and dichotomous thinking are prominent types of cognitive distortion.Social event that initiated the psychological disorder has close relationship with dysfunctional belief.And the therapy effects is better at the group who can show the underlying psychological mechanism Conclusion It is important to pay attention to common types of dysfunctional thoughts and find out distortions belief,assumption and schema in patients.They are the key for successful cognitive intervention.

关 键 词：精神病 神经官能症 认知曲解 

分 类 号：R749.702[医药卫生—神经病学与精神病学]